<?$fecha = date("d")."-".date("m")."-".date("Y");?>
<body bgcolor = "#005F8C">
<table width  ="100%" height = "100%" cellpadding = "0" cellspacing = "0">

<tr valign = "top">

<td align = "center">

<!--BARRA                    -->

<?include ("./barra/barramutual.php");?>

<!-- FIN DE LA BARRA                    -->
</td>


</tr>

<body text="white">
<tr valign = "top" height = "90%"><td align = "center">

<!-- CUERPO DEL SISTEMA -->
<table cellpadding = "0" cellspacing = "0" border  ="0" width="600">
<tr><td>

<fieldset><legend><font color = "white"><b>
NUEVA CARPETA</b></legend>
<center>


<table border="0" cellpadding="0" cellspacing="0"><TR><TD align="center">


<TABLE><TR>
<TD>Nombre:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Apellido:</TD>
<TD><input type = "text"></TD></TR>
<tr><TD colspan="5"><hr></TD></tr>
<TR>
<TD>Tipo de documento:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Numero de documento:</TD>
<TD><input type = "text"></TD></TR>

<TR>
<TD>Estado civil:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Sexo:</TD>
<TD><input type = "text"></TD></TR>

<TR>
<TD>Fecha de nacimiento:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Nacionalidad:</TD>
<TD><input type = "text"></TD></TR>
<tr><TD colspan="5"><hr></TD></tr>
<tr><TD colspan="5" align="center">DOMICILIO</TD></tr>
<tr><TD colspan="5"><hr></TD></tr>
<TR>
<TD>Calle:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Altura:</TD>
<TD><input type = "text"></TD></TR>

<TR>
<TD>Localidad:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Provincia:</TD>
<TD><input type = "text"></TD></TR>

<TR>
<TD>Telefono:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Celular:</TD>
<TD><input type = "text"></TD></TR>

<tr><TD colspan="5"><hr></TD></tr>
<tr><TD colspan="5" align="center">DATOS LABORALES</TD></tr>
<tr><TD colspan="5"><hr></TD></tr>

<TR>
<TD>Reparticion:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Lugar de trabajo:</TD>
<TD><input type = "text"></TD></TR>

<TR>
<TD>Domicilio laboral:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Localidad:</TD>
<TD><input type = "text"></TD></TR>

<TR>
<TD>Telefono:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Celular:</TD>
<TD><input type = "text"></TD></TR>


<tr><TD colspan="5"><hr></TD></tr>
<tr><TD colspan="5" align="center">REFERENCIA</TD></tr>
<tr><TD colspan="5"><hr></TD></tr>

<TR>
<TD>Nombre:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Apellido:</TD>
<TD><input type = "text"></TD></TR>

<TR>
<TD>Vinculo:</TD>
<TD><input type = "text"></TD>
<TD width="100"></TD>
<TD>Telefono:</TD>
<TD><input type = "text"></TD></TR>

<tr><TD colspan="5"><hr></TD></tr>
<tr><TD colspan="5"><hr></TD></tr>
<tr><TD colspan="5" align="right"><input type = "submit" value = "enviar"></TD></tr>

</center>

</TD></TR></table>

</fieldset>








</td></tr>


</table>









</td></tr></table>



<!-- FIN DEL CUERPO DEL SISTEMA -->

</td></tr>

</table>